MLTSS Collaboration Framework

Page Content

In 2013, AHCA/NCAL and LeadingAge invited an array of sister organizations representing persons with disabilities, older adults, and Long Term Services and Supports providers to partner on the development of a set of common priciples which should frame Medicaid managed long term services and supports (MLTSS) initiatives.

The guidance includes a principles-based framework for collaboration with states and plans to implement or expand MLTSS programs and quick tips for successful collaboration.

Collaborating Organizations

​​

About the Collaboration

​"We recognize that managed Medicaid, including LTSS, is moving rapidly across the country. While these plans can potentially allow for greater collaboration and integration, we want to make sure that the contract language includes the protections needed to ensure individuals have access to high quality providers or their choice and that these plans can identify, address and coordinate their needs - and not create barriers to access and needed services.''- Larry Minix, President and CEO, LeadingAge

“Even with the best intentions, if we aren’t careful with managed care implementation, the most vulnerable patients could get left behind in the name of savings. This framework offers concrete solutions to ensure that managed care places the needs of older adults first.”- Mark Parkinson, President and CEO, AHCA/NCAL

“Rapid expansion of Medicaid managed long-term services and supports across the country requires a core set of principles to ensure that people can access quality care. As one of the largest nationwide networks serving seniors and people with disabilities, Lutheran Services in America is pleased to partner in the development of a common set of principles to help ensure that the most vulnerable among us can achieve abundant life.”- Charlotte Haberaecker, President & CEO. Lutheran Services of in America and Lutheran Services in America Disability Network

“People with disabilities must be able to live, learn, work and play in their communities as states move to managed care for delivery of Medicaid long-term services and supports. An appropriate Medicaid managed care framework willensure that states, Easter Seals and other providers of long term services, and individuals with disabilities can work together to achieve this goal." - Katherine Beh Neas, Senior Vice President, Government Relations, Easter Seals

"Medicaid managed care presents many opportunities and challenges for those of who care for land about ong term and aging persons. This document presents and excellent summary of the issues, solid principles for ensuring proper access, quality and financing, and practical suggestions for beginning and continuing discussions with state Medicaid offices." - Julie Trocchio, Sr. Director, Community Benefit & Continuing Care, The Catholic Health Association of the United States

"People with developmental disabilities have a unique place within long term services and supports. States moving quickly to implement a capitation framework must deliberatively think through the implications of imposing managed care onto a system that offers lifelong supports to people. Managed care companies have little experience in working with non-clinical outcome measures so critical to person-centeredness, the ability to self-direct one's supports, and the philosophical underpinnings of self determination that are the core foundation of the community system for people with intellectual and developmental disabilities. These principles begin the discussion of how to move forward with integrity." - Renee Pietrangelo, PhD, CEO, American Network of Community Options and Resources (ANCOR)